Question

A 30-year-old woman with migraine with aura uses a combined oestrogen-progestogen oral contraceptive pill. She reports an increase in migraine frequency with typical visual aura preceding headaches. She is otherwise healthy and a non-smoker. What is the most appropriate advice regarding contraception?

Accepted Answer

Switch to a progestogen-only method such as a levonorgestrel IUD or progestogen-only pill

Answer

Continue the current pill as migraine with aura is not affected by oestrogen

Answer

Stop all hormonal contraception and rely on withdrawal

Answer

Add aspirin to reduce stroke risk and continue the combined pill

Answer

Encourage smoking cessation only and continue the pill

Practice question